NPI | 1376857581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21017) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 731105) |
Enumeration Date | 2010-07-29 |
Last Update Date | 2012-02-08 |